Test 1: Integument Flashcards

1
Q

What are the 4 parts of the integument?

A

Epidermis, Dermis, Hypodermis, and skin appendages.

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2
Q

Describe the epidermis:

A

Epithelial covering of the skin (no intercellular space).
Protective barrier.
Avascular (relies on diffusion from dermal vasculature.
Minimally innervated.

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3
Q

Describe the dermis:

A

It’s the supportive connective tissue layer (strong ECM component).
Highly vascularized and innervated.
Most of the skin appendages are located here.

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4
Q

Describe the hypodermis:

A

Primarily adipose compartmentalized by other connective tissues (highly vascular).
Comparable to superficial fascia (most variable in thickness).

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5
Q

What are the skin appendages?

A

Hair follicles, nails, sweat glands, and sebaceous glands.

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6
Q

What kind of cells make up the epidermis?

A

Stratified squamous orthokeratinized epithelium. (most superficial layer determines if it’s squamous or not).

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7
Q

What covers the epidermis superficially?

A

Sheets of keratin (remnants of dead cells).

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8
Q

What separates the epidermis from the dermis?

A

Basement membrane (part of the epidermis).

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9
Q

Describe the basement membrane of the epidermis:

A

Noncellular.
Difficult to see w/ light microscopy.
Provides adhesion interface for epithelial tissues.
Filtration barrier b/w compartments.

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10
Q

What is the principle cell type found in the epidermis?

A

Keratinocyte.

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11
Q

What is a keratinocyte?

A

Differentiates to produce keratin and keratohylin granules.
Produces and secretes glycolipid (which creates water barrier).
Originates deep in the epidermis (takes 4 wks. to move to the surface).

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12
Q

What are the 5 morphological epidermal layers? (deepest to most superficial?

A
Stratum basale. 
Stratum spinosum.
Stratum granulosum. 
Stratum lucidum.
Stratum corneum.
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13
Q

Describe the stratum basale:

A

Bottom layer.
Cuboidal to low columnar cells sitting on the basement membrane.
Contains mitotic cells that give rise to new keratinocytes.
Many desmosomes and hemidesmosomes present.

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14
Q

What joins cells to cells?

A

Desmosomes.

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15
Q

What joins cells to the basement membrane?

A

Hemidesmosomes.

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16
Q

What is the primary cytoskeletal protein in epithelial cells?

A

Keratin.

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17
Q

Describe the stratum spinosum:

A

Spiny layer.
Variable in thickness.
Polyhedral shaped cells linked by spine-like processes (each contains desmosomes made apparent by shrinkage artifact).

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18
Q

Describe the stratum granulosum:

A

Granular layer.
A few cells thick; squamous shaped cells.
Contains distinct basophilic keratohylin granules (also contains large amounts of keratin filaments at this time).

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19
Q

Describe the stratum lucidum:

A

Clear layer.
Only seen in skin from palms and soles (glabrous skin).
Thin transparent layer only a few cell layers thick.
Cells here have died and lost their organelles (including the nucleus).

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20
Q

Describe the stratum corneum:

A

Horny layer.
Keratinized or cornified layer of dead keratinocytes.
Compact sheets of keratin fibers; variable thickness (eg. calluses).
Glycolipid released into the intercellular space forms the water barrier.

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21
Q

Which epidermal layers are dead?

A

Stratum lucidum and stratum corneum.

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22
Q

Which epidermal layers are living?

A

Stratum basale, Stratum spinosum, and Stratum granulosum.

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23
Q

What are the 2 general kinds of skin?

A

Glabrous (thick skin).
Hairy (thin skin).
It’s based on the relative thickness of the epidermis only.

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24
Q

What kind of skin is hairless with a thick epidermis (substantial keratinized layer)?

A

Glabrous or thick skin.

Has a thin hypodermis

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25
Q

Where is glabrous or thick skin found?

A

Palms of hands and soles of feet.

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26
Q

Where is hairy or thin skin found?

A

The remainder of the body.

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27
Q

What kind of skin has hair follicles and a thin epidermis (thinner layer of keratin)?

A

Hairy or thin skin.

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28
Q

What kind of skin has a greater total thickness?

A

Hairy or thin skin.

29
Q

What chronic skin disorder is characterized by dark red circumscribed lesions with obvious superficial silvery white scales?

A

Psoriasis.

3

30
Q

What happens due to the accelerated keratinocyte turnover from psoriasis?

A

Mitosis occurs in the 3 deepest layers of the epidermis.
Overproduced keratinocytes reach the surface in less than 1 week.
Not enough time to allow adequate maturation of keratinocytes.
The stratum corneum fails to become a strongly cohesive layer.

(3)

31
Q

What is the pale-staining dendritic cell that is found interspersed in the stratum basale and is derived from the neuroectoderm?

A

Melanocytes.

3

32
Q

What kind of cells produce melanin?

A

Melanocytes.

3

33
Q

What is melanin phagocytosed by?

A

Keratinocytes.

3

34
Q

What is the difference b/w light skinned and dark skinned ppl?

A

Light skinned ppl store melanin in basal keratinocytes and have a faster rate of lysosomal degradation.
Dark skinned ppl store melanin in all layers of the epidermis and have a much slower rate of lysosomal degradation.

35
Q

What is the pail staining dendritic cell located in the three deepest layers of epidermis and is an antigen presentation cell involved in cell mediated immune responses in the skin?

A

Langerhans cells.

4

36
Q

What is a merkel cell?

A

Clear cell located in the stratum basal where it synapses with an afferent neuron.
Prevalent where sensory perception is acute (fingertips).
Functions as a mechanoreceptor for light touch.

37
Q

What is the dermis?

4

A

Supporting tissue on which the dermis sits.

Primarily made of dense irregular tissue containing the skin appendages.

38
Q

What does dense irregular connective tissue consist of and what are its properties?

(4)

A

Thick bundles of type I collagen running in multiple planes with elastic fibers intermixed. Ground substance fills the spaces b/w the CT fibers and cells. Fibroblasts and macrophages are commonly seen.
It’s usually well vascularized and well innervated (repairs itself well after injury).

39
Q

What functions to limit range and direction of movement in multiple directions?

(4)

A

Dense irregular CT.

40
Q

What are elastic fibers composed of?

4

A

Fibrillin and elastin proteins.

41
Q

What is ground substance primarily comprised of?

4

A

Glycosaminoglycans (GAG’s).
(Large unbranched polysaccharide chains of repeating disaccharides. Has a high negative charge due to sulfation and is hydrophilic. Facilitates fusion b/w cells and capillaries.)

42
Q

What are the functions of fibroblasts?

4

A

Produce all the matrix components in general connective tissue. Also maintains and repairs CT matrix.
(Spindle shaped, most commonly seen cell in dense irregular CT).

43
Q

What are the major functions of macrophages?

A

Phagocytosis and antigen presentation.

Large scavenger cells that are constantly cleaning stuff up

44
Q

What does the reticular dermis contain?

5

A

Contains blood vessels, lymphatics, and nerves of skin.

Deep to papillary layer

45
Q

How do blisters form?

5

A

Excessive sheering at the dermal/epidermal interface.

46
Q

What are Langer’s lines?

5

A

Parallel lines of tension in skin that results from organized bundles of collagen and elastic fibers.
(There is least scarring if incisions are made parallel to these lines).

47
Q

How is the epidermis nourished?

5

A

Diffusion from dermal papillary capillaries.

48
Q

What is an arteriovenous anastomoses?

5

A

Located b/w 2 plexuses.
Direct connection b/w arterial and venous vessels bypassing capillary beds.
Required for thermoregulation and may be gated by the ANS.

49
Q

How are mechanoreceptors stimulated?

6

A

Compression or tension.

50
Q

How are thermoreceptors stimulated?

6

A

Temperature.

51
Q

How are nociceptors stimulated?

6

A

Chemical irritants.

52
Q

What are encapsulated nerve endings surrounded by?

6

A

Modified schwann cells.

3 examples are meissner’s corpuscle, pacinian corpuscle, and ruffini corpuscle

53
Q

Describe meissner’s corpuscle:

6

A

Mechanoreceptor sensitive to light and touch.
Located in dermal papillae (especially on palms and fingertips).
Has flat schwann cells with a helical neuron.

54
Q

Describe pacinian corpuscle:

6

A

Mechanoreceptor sensitive to deep pressure.
Located at dermis/hypodermis interface.
Large w/concentric rings of schwann cells and a central neuron (looks like an onion).

55
Q

Describe a ruffini corpuscle:

6

A

Mechanoreceptor sensitive to tension.

Small spindle shaped receptor found interspersed among the collagen bundles.

56
Q

What is the tubular downgrowth of epidermis into dermis and hypodermis?

(6)

A

Hair follicle.

57
Q

What is the narrow band of smooth muscle associated with each hair?

(6)

A

Arrector pili.

runs obliquely to the follicle and causes the shaft to become erect

58
Q

What does acinar mean?

6

A

Cluster of cells.

59
Q

What is the simple acinar exocrine glangular outgrowths from the hair follicle?

(6)

A

Sebaceous gland.

fairly inactive prior to puberty; large and secretory following puberty

60
Q

What is the oily secretory product released by holocrine secretion?

(6)

A

Sebum.

involved with sebaceous glands.

61
Q

Describe an eccrine sweat gland:

6

A

Simple tubular exocrine glands.
Secretory region is coiled and located in the reticular dermis.
Excretory region passes through papillary dermis and epidermis to surface.
Secretes sweat for temperature regulation.

62
Q

Describe appocrine sweat glands:

6

A

Associated with hair follicles.
Secretion is initially odorless but bacterial action on the skin creates an odor.
Secretion may function as pheromone.

63
Q

Describe loose areolar CT:

7

A

Mostly thin, lacy type I collagen fibers (webbing in gross lab).
Mostly fibroblasts.
Functions in packing, binding, and anchoring in relatively small areas. (Often has a role in immune function - diffuse lymphatic tissue).

64
Q

What is the equivalent to superficial fascia?

7

A

Hypodermis.

Major component is adipose

65
Q

Describe adipocytes:

7

A

Mature adipocytes are nonmitotic.
Lipid droplet pushes nucleus and cytoplasm peripherally.
Held together by strands of type I collagen.
Function as long term energy reserve source and insulates against heat loss, fills crevices and cushions.

66
Q

What are the 2 types of adipose?

7

A
Unilocular Adipose (white fat- yellow; all over the body).
Multilocular adipose (brown fat).
67
Q

Describe unilocular adipose:

7

A

Adult form of fat most commonly present.
Each cell contains a single large lipid droplet which pushes organelles peripherally.
Function in lipid storage as the body’s long term energy reserve, insulation, shock absorption, and body contouring.

68
Q

Describe multilocular adipose:

7

A

Most common in newborns (disappears in adults).
Typical kind of fat seen in hibernating animals.
Contains multiple small lipid droplets and many mitochondria.
Function in metabolizing fat to produce heat.